Assignment 3

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San Jose State University *

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110

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Mechanical Engineering

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Apr 3, 2024

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AH-110 Medical Terminology Online Assignment #3 20 points possible Part I: 10 pts. The chart below contains ten (10) phrases that can be reworded with a medical term that you learned in module 9. Each phrase is identified with an underline. Determine the medical term and write your answers in the space provided. Current complaint : Patient is a 77-year-old male seen by the urologist with complaints of nocturia and difficulty with release of semen from the urethra (1). Past History: Medical history revealed that the patient had failure of the testes to descend into the scrotum (2) at birth, which was repaired by surgical fixation of the testes (3) . He had also undergone elective sterilization by removal of a segment of the vas deferens (4) at the age of 41. Signs and Symptoms: Patient reports he first noted these symptoms about five years ago. They have become increasingly severe and now he is not able to sleep without waking to urinate up to 20 times a night. He has difficulty and pain with release of the urine (5) . Palpation of the prostate gland through the rectum (6) revealed multiple round firm nodules in the prostate gland. A needle biopsy was negative for a slow growing cancer that frequently affects males over 50 (7) and a blood test for prostate cancer (8) was normal. Diagnosis: Enlargement of the prostate gland due to cancer (9) . Treatment: Patient was scheduled for a surgical removal of the prostate tissue through the urethra (10). 1. _________________________________________ 2. _________________________________________ 3. _________________________________________ 4. _________________________________________ 5. _________________________________________ 6. _________________________________________ 7. _________________________________________ 8. _________________________________________ 9. _________________________________________ 10. _________________________________________ Fall 2022 ~ Spring 2023 1

Part II: 10 pts Medical Record Analysis Below is an item from a patient’s medical record. Read it carefully, make sure you understand all the medical terms used, and then answer the questions that follow. High-Risk Obstetrics Consultation Report Reason for Consultation: High-risk pregnancy with late-term bleeding. History of Present Illness: Patient is 23 years old. She is currently estimated to be at 175 days of gestation. She has had a 23- lb. weight gain with this pregnancy. Amniocentesis at 20 weeks indicated male fetus with no evidence of genetic or developmental disorders. She noticed a moderate degree of vaginal bleeding this morning but denies any cramping or pelvic pain. She immediately saw her obstetrician who referred her for high-risk evaluation. Past Medical History: Patient is a multigravida but nullipara with three early miscarriages without obvious cause. She was diagnosed with cancer of the left ovary four years ago. It was treated with let oophorectomy and chemotherapy. She continues to undergo full-body CT scan every six months, and there has been no evidence of metastasis since that time. Menarche was at age 13, and her menstrual history is significant for menorrhagia resulting in chronic anemia. Results of Physical Examination: Patient appears well-nourished and abdominal girth appears consistent with length of gestation. She is understandably quite anxious regarding the sudden spotting. Pelvic ultrasound indicates placenta previa with placenta almost completely overlying cervix. However, there is no evidence of abruption placentae at this time. Fetal size estimate is consistent with 25 weeks of gestation. The fetus is turned head down, and the umbilical cord is not around the neck. The fetal heart tones are strong with a rate of 130 beats/min. There is no cervical effacement or dilation at this time. Fall 2022 ~ Spring 2023 2

Recommendations: Fetus appears to be developing and in no distress at this time. The placenta appears to be well-attached on ultrasound, but the bleeding is cause for concern. With the extremely low position of the placenta, this patient is at very high risk for abruption placentae when cervix begins effacement and dilation. She may require early delivery by caesarian section at that time. She will definitely require C-section at onset of labor. At this time, recommend bed rest with bath room privileges. She is to return every other day for two weeks and every day after that for evaluation of cervix and fetal condition. She is to call immediately if she notes any further bleeding or change in activity level of the fetus. Please answer the following questions: 11. Describe in your own words the treatment this patient received for her ovarian cancer. What procedure does she continue to have every 6 months? (2 pts) 12. Describe in your own words this patient’s menstrual history. (2 pts) 13. Which of the following choices describes this patient? Select all that apply . (1 pt.) a. she has never been pregnant b. she has several live children c. she has no live children d. she has been pregnant several times. 14. This patient has placenta previa. What procedure discovered this condition? Explain why the physician is much more concerned about abruption placentae. (3 pts) 15. Describe at least 5 things related to the fetus . (2 pts) Fall 2022 ~ Spring 2023 3

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